Amanda Alexis Vazquez

NPI #1679208706 in Fairborn, Ohio

Provider Information

NPI Number: 1679208706
Entity Type: Individual
Name: Amanda Alexis Vazquez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Jul 21, 2022
Last Updated: Apr 22, 2025

Practice Location

Address: 1383 CIMARRON CIR
City: Fairborn
State: Ohio
ZIP Code: 45324-6207
Phone: (937) 802-6815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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